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Folliculitis decalvans: Causes, Symptoms, Diagnosis

Rare, persistent, and scarring, folliculitis decalvans (FD) affects the scalp very seldom and frequently. In this condition, hair loss manifests itself as a diffuse thinning rather than a localised bald spot.

Folliculitis decalvans-

Folliculitis decalvans: what is it?

Rare and persistent cicatricial (scarring) scalp ailment known as folliculitis decalvans (FD). It typically manifests as a diffuse loss of hair, or alopecia, rather than a localised area of baldness. Inflammation of the hair follicles is referred to in Latin as folliculitis.

In around 11% of cases of primary cicatricial alopecia, FD is the underlying cause. Those in their 20s and 30s are at the greatest risk, whereas middle-aged adults and men have a somewhat higher incidence.

The Signs of Folliculitis Decalvans

In addition to the scalp, FD can manifest in the limbs, the chest, the face, the beard, the legs, and even the genital area. Certain symptoms stand out:

  • Pimples on the skin around the hair follicles.
  • You have a tufted scalp if you have several hairs emerging from a single hair follicle.
  • A reddened, swollen, scarred, and itchy scalp is a common side effect of baldness.
  • Extensive hair loss may develop as the illness worsens. Some people, however, may show no signs or symptoms at all.

Folliculitis Decalvans: Possible Roots

  • It’s a combination of folliculitis and alopecia: alopecia folliculitis. Both of these illnesses might have a wide range of root causes. No one knows what triggers FD.
  • That you have an aberrant reaction to Staphylococcus aureus germs, say some people. Normal, healthy people also frequently have this microorganism on their skin or in their noses. But how much of a role the bacteria have in triggering FD is unclear.
  • It’s not communicable, and it’s caused by a malfunctioning immune system. Typically, it does not run in families. Nonetheless, there are rumours that it can affect members of the same family.

Anyone, even those who take care of their health generally, is at risk. Indicators of danger are hard to pin down.

Evaluation for Folliculitis Decalvans

Dermatologists are the go-to medical professionals for the diagnosis of Folliculitis Decalvans and most other hair and skin problems. These methods of performing a dermoscopy for folliculitis decalvans are all viable options.

The doctor wants to be certain of your medical history before prescribing anything severe, so expect a thorough medical history check and questionnaire.

  • A magnifying glass is used to examine individual hair follicles under a microscope.
  • Some people get swabs collected from them to send to labs to see if they contain any harmful bacteria or viruses.
  • A skin biopsy involves the surgical removal of a little piece of skin for laboratory analysis.

Specialists rule out other common reasons of hair loss, like, before initiating FD treatment.

  • Radiation-induced hair loss can occur in discrete areas.
  • Stress: Stress can prevent hair growth by putting dormant hair follicles into a resting state. Telogen effluvium describes the state in which hair transitions from the resting to the growing phase.
  • Telogen effluvium is a hair loss disorder that is associated with the flu and other viral infections.
  • Eating disorders: A shortage of nutrients required for good hair development might be caused by a poorly balanced meal.
  • Dangerous levels of vitamin A, vitamin E, or selenium in the body.
  • Neglecting to properly care for one’s hair can lead to dry, brittle strands, which is a common problem among men. Investing in high-quality hair oil is a positive move.

The dermatologist may request blood work to rule out more serious conditions, such as thyroid dysfunction.

Can Folliculitis Decalvans Be Cured? Treatment Options.

Unfortunately, there is currently no treatment that will permanently reverse FD. Inflammation can be managed using a number of different medications. However, there is currently no known treatment that may permanently reverse this disease. Scarring is permanent once it starts. A decrease in symptoms, pustules, and hair loss may accompany successful treatment.

Possible Folliculitis Decalvans treatments include:

1.Antimicrobials

Hair follicles are protected from damage by antibiotics like minocycline, rifampicin, and clarithromycin. The severity of the problem will determine how long and how often medicine must be taken.

2.Soluble Clindamycin

This Clindamycin cream or gel can be applied topically twice daily for 5–7 days. The drug is effective against Staphylococcus aureus.

3.Taking Care of Oneself

Treatment with a shampoo specifically designed to treat folliculitis can be beneficial. Mild shampoos can be used whenever one likes. Additionally helpful are antidandruff shampoos that include antifungal drugs like ketoconazole or ciclopirox. It’s up to you if you want to condition your hair.

4.Fusidic Acid

A silver lining: A 2019 study also shows successful treatment of FD with Fusidic Acid in a 41-year woman. Another report claims to cure the condition using manuka honey, denser than regular honey and has antibacterial properties.

Also read: How to Use Minoxidil to Promote Hair Growth on Your Face and Body

Conclusion

While inflammation can resolve on its own, flares may occur intermittently for weeks, months, or even years. Long-term treatment is necessary for a condition like folliculitis decalvans. Maintaining control requires consistent trips to the dermatologist.

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